Jack Ma, ACUPUNCTURIST

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

005627 Issued in NY

Practice address

53 Woodbury Rd
Hicksville, NY 11801-3041

Phone

(646) 479-7689

NPI assigned

Sep 15, 2015

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555459200000",
    "number": "1447629928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20644 45TH RD",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613121",
            "telephone_number": "646-479-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 WOODBURY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118013041",
            "telephone_number": "646-479-7689"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20644 45th Rd",
            "address_purpose": "LOCATION",
            "city": "Bayside",
            "state": "NY",
            "postal_code": "113613121",
            "country_code": "US",
            "telephone_number": "646-479-7689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MA",
        "first_name": "JACK",
        "credential": "ACUPUNCTURIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-15",
        "last_updated": "2019-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACCUPUNCTURE",
            "identifier": "5627",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE",
            "identifier": "25MZ001172000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brian Lydting
• Novalee Lyncook-Madu, RN
• David Scott Lynn, DDS
• Jessica Lyons
• Megan Lyons
• Maaz Care Solutions LLC
• Sabrina Machuca, LCSW
• Errol-Ann Mack, MS
• Iris Mack, RN
• Alyson Nicole Maddalone

• Acupuncturist in Hicksville, NY
• Providers in Hicksville, NY by specialty
• Acupuncturist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.